CICSA CO-OPERATIVE CREDIT UNION LTD.

Telephone: 345-949-8415 Fax: 345-949-8910

PROOF OF RESIDENCY LETTER

CAYMAN ISLANDS

Dear Madam

RE: _________________________________________

I hereby confirm that the above named person resides at:

_______________________________________________________________________________________

_______________________________________________________________________________________

Other: ______________________________________________________________________________

This person has resided here since ________________________________________________________

Photo identification (at least one is required)

Driver’s License

Name: _________________________________________________________________________________

Address: _______________________________________________________________________________

_______________________________________________________________________________________

Telephone _____________________________________________________________________________